Assessment of the frailty level of elderly people with chronic kidney disease undergoing hemodialysis

Abstract

Objective: To assess the frailty level of elderly people with chronic kidney disease undergoing hemodialysis. Methods: This is a cross-sectional study involving 60 participants and carried out at a Renal Replacement Therapy Unit. The Edmonton Frail Scale, translated and validated to Portuguese, was used as the instrument of research. Results: Around 35.0% of the elderly showed no frailty, 26.7% were vulnerable, 20.0% showed mild frailty, 13.3% moderate frailty and 5.0% severe frailty. Conclusion: The frailty level of elderly people with chronic kidney disease undergoing hemodialysis was high and the number of elderly people who are vulnerable to frailty was also high. ResumoObjetivo: Avaliar o nível de fragilidade de idosos renais crônicos em tratamento hemodialítico. Métodos: Trata-se de um estudo transversal desenvolvido com 60 participantes em uma Unidade de Terapia Renal Substitutiva. Foi utilizada como instrumento de pesquisa a Edmonton Frail Scale, traduzida e validada para a língua portuguesa. Resultados: Cerca de 35,0% dos idosos não apresentou fragilidade, 26,7% estava vulnerável, 20,0% apresentou fragilidade leve, 13,3% fragilidade moderada e 5,0% fragilidade severa. Conclusão: O nível de fragilidade de idosos renais crônicos em tratamento hemodialítico foi elevado assim como foi alto o nível de idosos vulneráveis à fragilidade.

Relação Entre a Esperança E a Espiritualidade De Idosos Cuidadores

“…5 Other research that sought to identify hope and depression in 89 patients undergoing chemotherapy in a hospital in the south of Brazil showed a mean score similar to this study, of 40.8 (±4.45), ranging from 26 to 48 points, in patients with a mean age 57.0 years. 16 When analyzing each of the 12 items on the scale, the three alternatives that presented higher means were, "My faith comforts me", "I believe in the value of each day" and "I feel that my life has value and utility", in descending order, for elderly caregivers.…”

“…4:228 Promoting hope is beneficial to people's health and enables them to cope with crises; thus, measuring hope encourages the implementation of interventions for patients with chronic diseases and their relatives. 5 In this context, hope can be an important variable in the act of caring and an element that motivates the caregiver in the care and self-care activities and instigate them to believe they can act differently in face of the new reality, as well as the acceptance and coping with the obstacles of life. 6 A national study has shown the existence of a relationship between hope and spirituality.…”

Religiosity and hope in patients with chronic renal failure: coping strategies

“…In Brazil, hope andreligiousity have been studied in patients undergoing hemodialysis [7,[10][11]. However, these did not show the correlation between the HHS and DUREL scales, and it was this gap that motivated the present study, assuming that religion is a coping mechanism for improvement of hope.…”

Factors Associated With the Quality of Life of Patients Undergoing Hemodialysis

“…[21][22][23][24] In regard to clinical factors associated with the QOL of patients with CKD who are undergoing hemodialysis, in regard to the "physical" and "social relationships" domains of the WHOQOL-bref, participants with lower levels of albumin were at a greater risk of experiencing poor QOL. One study conducted in Spain assessing the nutritional state of patients attending a hemodialysis center based on albumin levels reports that this is considered to be a good marker of the nutritional state of patients with a diagnosis of CKD, as well as that low levels of this protein are associated with a greater risk of morbidities and mortality.…”